Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt
A 16-y-old boy who had undergone bone marrow transplantation for relapsed acute lymphoblastic leukaemia developed liver cirrhosis and refractory ascites, which did not respond to salt restriction, diuretics and abdominal paracentesis. Liver transplantation was not feasible because of poor nutritiona...
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| Format: | Article |
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2001
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| author | Lee, W.S. McKiernan, P.J. de Goyet, J.D. Tanner, M.S. John, P.R. |
| author_facet | Lee, W.S. McKiernan, P.J. de Goyet, J.D. Tanner, M.S. John, P.R. |
| author_sort | Lee, W.S. |
| collection | UM |
| description | A 16-y-old boy who had undergone bone marrow transplantation for relapsed acute lymphoblastic leukaemia developed liver cirrhosis and refractory ascites, which did not respond to salt restriction, diuretics and abdominal paracentesis. Liver transplantation was not feasible because of poor nutritional status, pro-existing renal dysfunction and uncertainty about the prognosis of his leukaemia. The patient underwent a Successful transjugular intrahepatic portosystemic shunt (TIPS), with immediate resolution of ascites, enabling cessation of diuretics and improvement in nutritional status. At 24 mo following TIPS there has been no re-accumulation of ascites. Conclusion: TIPS inay have a role in the nianagernent of refractory ascites secondary to liver cirrhosis in selected children. |
| first_indexed | 2024-03-06T05:27:20Z |
| format | Article |
| id | um.eprints-10923 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:27:20Z |
| publishDate | 2001 |
| record_format | dspace |
| spelling | um.eprints-109232014-07-14T00:17:30Z http://eprints.um.edu.my/10923/ Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt Lee, W.S. McKiernan, P.J. de Goyet, J.D. Tanner, M.S. John, P.R. R Medicine RJ Pediatrics A 16-y-old boy who had undergone bone marrow transplantation for relapsed acute lymphoblastic leukaemia developed liver cirrhosis and refractory ascites, which did not respond to salt restriction, diuretics and abdominal paracentesis. Liver transplantation was not feasible because of poor nutritional status, pro-existing renal dysfunction and uncertainty about the prognosis of his leukaemia. The patient underwent a Successful transjugular intrahepatic portosystemic shunt (TIPS), with immediate resolution of ascites, enabling cessation of diuretics and improvement in nutritional status. At 24 mo following TIPS there has been no re-accumulation of ascites. Conclusion: TIPS inay have a role in the nianagernent of refractory ascites secondary to liver cirrhosis in selected children. 2001 Article PeerReviewed Lee, W.S. and McKiernan, P.J. and de Goyet, J.D. and Tanner, M.S. and John, P.R. (2001) Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt. Acta Paediatrica, 90 (11). pp. 1352-1355. ISSN 0803-5253, DOI https://doi.org/10.1111/j.1651-2227.2001.tb01590.x <https://doi.org/10.1111/j.1651-2227.2001.tb01590.x>. http://onlinelibrary.wiley.com/doi/10.1111/j.1651-2227.2001.tb01590.x/abstract 10.1111/j.1651-2227.2001.tb01590.x |
| spellingShingle | R Medicine RJ Pediatrics Lee, W.S. McKiernan, P.J. de Goyet, J.D. Tanner, M.S. John, P.R. Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title | Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title_full | Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title_fullStr | Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title_full_unstemmed | Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title_short | Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| title_sort | successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt |
| topic | R Medicine RJ Pediatrics |
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